Almost Famous Dance Studio Online Registration

Registration

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Welcome to Almost Famous Dance Gymnastics & Cheer!!!! Please use students age/grade as of Fall 2024 to register.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Who is your employer?

Employer*

Employer Phone*

Employer Notes

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Who is your employer?

Employer

Employer Phone

Employer Notes

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2024.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2024.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2024.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2024.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Please click on the Search button below, then choose the class.

Main Location -Monticello

Dy Location -Dyersville

Both Locations-is for our competition teams.

Our classes go off of age/Grade Fall of 2024.

Any Questions please reach out to us at Almost Famous by phone (319) 465-4111 or email almostfamousdance@gmail.com

Thank you & Welcome to the Fam!

Amanda Hackney & Melissa Ehrisman

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Please fill out BOTH of the following Payment Methods

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

eCheck/Bank Draft

Bank Name *

Account Type *

Your Account Name * (Your name on your bank statement)

Bank Routing Number * (9-digit number)

Account Number *

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Who is your employer?

Contact #2

How can we contact you?

Who is your employer?

Student #1

Additional Info

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Student #2 (Show-Hide Details)

Additional Info

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Student #3 (Show-Hide Details)

Additional Info

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Student #4 (Show-Hide Details)

Additional Info

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Student #5 (Show-Hide Details)

Additional Info

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Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

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